2006-08-12

The Vanishing Country: A Review Part I.

"In spite of the voluminous amount of well-documented evidence published in both Canada and the United States that clearly shows the overall superiority of Canada's publicly supported and publicly managed Medicare system, during the last few years there has been an almost daily barrage of attempts to discredit Medicare."

Quite an assertion by Mel Hurtig in 'The Vanishing Country.' A newer version of George Grant's 'Lament for a Nation' - without the polemics. Over the next four posts I will review this passionately written book. In the interest if space and time, I chose to begin with public health.

Returning to the above claim. I have not seen "voluminous" evidence that reveals our "superiour" health system. Forget the numbers and debates for a second. One need only be thrown into the system to make a decision as to whether or not we have a great system. What Mr. Hurtig is not saying is that contrary to his over use of the 'radical right' brainwashing us poor folk, the reality is that people with any form of sanity will tell you that the system is downright a mess.

Canceled surgeries, ridiculously long waiting periods, understaffed and under-equipped - to name a few- the public health system is not modern enough. For the millions we pour into the system it's no longer acceptable to rationalize the system by saying 'we don't throw anybody into the streets.'

The fact is that we're not allowed to bring up these issues in Canada. Not with Tommy Douglas being selected as the greatest Canadian in a recent countrywide poll. Public health is the leitmotif of the Canadian identity.

Poor management notwithstanding, I have nothing but full confidence in the doctors and nurses who are slaves to this collectivism run amok. Canada has a proud tradition of medical excellence. Alas, the way they are treated is a travesty and what the patients endure inhumane. So how is it superiour? We shouldn't make social contract promises we can't keep.

A couple of weeks ago, the medical profession took out an ad in a newspaper attempting to shame the government into taking action to improve the health system. To me, this is a clear indication that something is wrong. It's a huge step for doctors to take.

What was the reaction? Politicians went berserk. I'm always suspicious of politicians who defend the system so vehemently. Sure they do; they get to jump the queue or split for the U.S. - sometimes on taxpayer expense I am sure. I doubt they get to sit with the masses and witness first hand the anger among us.

Which leads me to his next comment. " Until recently, Canada was the only country in the OECD where there is no way to buy your way to the front of the line for medically-necessary medical and hospital services." I'm surprised this made into the book. Maybe payment isn't exchanged but, wink, wink, I'm so and so. "Yes sir to the front of the line. " Why, not so long ago a hockey player received remarkably fast and efficient service to treat his cancer. Meanwhile, kids rot in beds waiting to die. Our priorities are just as a screwed up as anybody.

The book ventures into places in which it has no business going. Like talking about the evils of the American health system for example. I won't get into it here but for me it stunk of selective musings. Tired old cliches that have since been proven inadequate to describe the complex and imperfect American version. All I know is that using our public health, as some proxy to show we are superiour is absurd.

I'm not knocking the system. I have benefited from it. But to hold on to it and blindly believe in maintaining the status quo to satisfy our nationalism serves no one. It only amounts to a colossal failure in keeping the system up to par in relation to what we put into it.

With health falling under provincial jurisdiction I remain skeptical that we will ever solve our problems. Our 10 jackals that pretend to be leaders are way too parochial to come up with a plan that benefits us all.

His answer to solve our problems? Bigger government and more money. It's already been squandered away so why not, eh? We agree with problems and symptoms but disagree with the cure.

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